Nebras

2024

1. Medium-High risk12/16/2024

   K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (B) A tornado drill shall be conducted monthly. A record of the date and time of each tornado drill and a record of each evacuation time shall be kept on file on the premises for one year.

   Tornado drills for 2023 were not available for review. Tornado drills are not recorded for 2024. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
2. High risk12/16/2024

   K.A.R. 28-4-114a Initial and ongoing professional development training. (b) (2) Each provider shall complete the training before the date of employment or not later than 30 calendar days after the date of employment. Each provider shall complete the training before being given sole responsibility for the care and supervision of children.

   Main provider could not locate her health and safety trainings at the time of visit. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
3. Medium risk12/16/2024

   K.A.R. 28-4-115 Facility. (g) (4) Sharp instruments shall be stored in drawers or cabinets equipped with childproof devices to prevent access by children or stored out of reach of children.

   There are sharp knives and adult scissors in a kitchen drawer; the drawer is not locked, and the sharp objects are not stored at least 5ft high. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
4. Medium-High risk12/16/2024

   K.A.R. 28-4-115 Facility. (g) (1) All household supplies, cleaning supplies, dangerous chemicals, and all bodily care products containing alcohol or bearing warning labels to keep out of reach of children shall be in locked storage or stored out of reach of children under six years of age. Soap used for hand washing may be kept unlocked and placed on the back of the counter by a sink.

   There are disinfecting wipes/hand sanitizer on a table (within reach of children) in the garage area (where the children play), there are disinfecting wipes in the basement restroom (under cabinet) that are not locked or kept at least 5ft high, there is rubbing alcohol, water repellent spray, and dishwasher tabs under the kitchen sink that is not locked, and there are fragrance oils on the main level and basement area (within reach of children). (Licensing survey — Annual Survey — 24-008463)

   Not corrected
5. Medium risk12/16/2024

   K.A.R. 28-4-115 Facility. (c) ( 8) has each electrical outlet covered or inaccessible to prevent easy access by a child when the outlet is not in use;

   There are a few electrical outlets that are not covered on the main level and the basement area. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
6. Medium-High risk12/16/2024

   K.A.R. 28-4-115 Facility. (e) A basement or a second floor used for child care in a facility shall be approved for fire safety by a fire inspector before use. A third floor shall not be used for child care.

   Provider is currently utilizing her garage area for care; her most current fire inspection indicates that the garage area is not approved. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
7. Medium-High risk12/16/2024

   K.A.R. 28-4-117 Health care requirements for children under 16 years of age and recordkeeping. (c) Immunizations for each child, including each child of the provider under 16 years of age shall be current as medically appropriate and shall be maintained current for protection from the diseases specified in K.A.R. 28-1-20(d). A record of each child's immunizations shall be obtained not later than 60 calendar days after the child's initial enrollment in a child care facility and shall be maintained on the child's medical record.

   Four children (out of 18) need updated immunization records on file. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
8. Medium-High risk12/16/2024

   K.A.R. 28-4-126 Health of individuals at least 16 years of age. (c) (1) Each individual at least 16 years of age who is living, working, or regularly volunteering in the facility shall have a record of a negative tuberculosis test or x-ray obtained not more than two years before the date of employment or initial application for a license or not later than 30 days after the date of employment or initial application.

   Two residents in the home need negative TB tests or chest x-rays on file. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
9. Medium-High risk12/16/2024

   K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1)

   Two children (out of 18) do not have emergency medical release forms on file. (Licensing survey — Annual Survey — 24-008463)

   Not corrected
10. Medium-High risk12/16/2024

    K.A.R. 28-4-127 Telephone; emergency medical treatment; reporting requirements. (b) (1) (A) Written permission of the parent or legal guardian for emergency medical treatment on a form that meets the requirements of the hospital or clinic where emergency medical care will be given; and

    One child (out of 18) has an expired emergency medical release form on file. (Licensing survey — Annual Survey — 24-008463)

    Not corrected
11. Medium-High risk12/16/2024

    K.A.R. 28-4-128 Safety and emergency procedures. (a) (6) (A) A fire drill shall be conducted monthly. A record of the date and time of each fire drill and a record of each evacuation time shall be kept on file on the premises for one year.

    Fire drills for 2023 were not available for review. (Licensing survey — Annual Survey — 24-008463)

    Not corrected